Health
Man dies after 'missing opportunity' to receive epilepsy medication
A London man died from a seizure after being left without prescription epilepsy medication due to “significant failures” from health services in the days before his death, an inquest has found.
Master's student Charlie Marriage (32) died from the following illness. Sudden unexpected death in epilepsy (SUDEP) On 26 June 2021 at a flat in Camberwell, Assistant Coroner for Inner South London Xavier Mouillato handed down the verdict on Tuesday 21 January 2025.
Mr Marriage had been isolating since being alerted to do so by NHS Test and Trace on June 24, 2021. This meant he was unable to go to his usual pharmacy at the university in Uxbridge, where he had a prescription for the epilepsy drug Fycompa (perampanel). To collect.
In the days before his death, he had called his GP and NHS 111 to arrange urgent access to medication from a local pharmacy.
Mr Mooyart said there were “quite a few failures” and “many missed opportunities” in Mr Marriage's death. These occurred at parts of the NHS 111 service, Superdrug pharmacy in Camberwell and Mr Marriage's GP practice.
He added that Mr Marriage was “close to remission” and that lack of medication likely increased the risk of seizures and their severity, contributing to his death. He said there was a similar group of patients who could be “just as vulnerable in the future” if they don't receive proper advice.
Mouyaert said this was technically a “death due to COVID-19” even if COVID-19 was not the cause of death, but Marriage's mother, Henrietta Hastings, said that even though COVID-19 was not the cause of death, He said he was concerned that the same thing could still happen to people who were left without important medications. of GP time.
Mr Mooyart published a report into preventing future deaths for NHS England.
true hope
Mr Mooyart said in his inquest report that DHU Healthcare, which runs the NHS 111 service, should have known Mr Marriage needed a return call from a clinician. He said he should have known the request was of an urgent nature given that he had called his GP.
He added that there had been further failings by practicing GPs who should have been aware of the urgent request. Mr Moulyat said pharmacists at Superdrug in Camberwell also made “simple mistakes” that resulted in prescriptions being delayed by two weeks and pharmacists not being able to sign into the system.
Marriage was diagnosed with epilepsy at 14 and Fycompa was a “game changer”, Hastings said. She said the Future Death Prevention report “gives us real hope that we can make the necessary changes and prevent suffering for other families.”
A spokesperson for NHS England and DHU Healthcare told The i that they are closely investigating the coroner's findings, which were noted in the Future Death Prevention report. A Superdrug spokesperson said the group was “taking all necessary steps to ensure the highest standards of service are maintained” and that the pharmacists involved in the incident were no longer working with them. added.
We look forward to hearing from you if you experience any issues with the supply of medicines. Please share your experiences with us at [email protected].
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Sources 2/ https://www.epilepsy.org.uk/news/man-dies-after-missed-opportunities-to-issue-him-with-epilepsy-medication The mention sources can contact us to remove/changing this article |
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